{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T05:19:42Z","timestamp":1771305582605,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction:<\/jats:title>\n            <jats:p>Patients with familial adenomatous polyposis (FAP) are characterised by the appearance of colorectal cancer if the disease is left to follow its natural course, which means they frequently undergo prophylactic colectomy at a young age. In these patients, duodenal cancer becomes the leading cause of death, which deems surveillance necessary. Gastric cancer, although rare, can also occur in these patients, and total gastrectomy is the usual treatment option.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients and Methods:<\/jats:title>\n            <jats:p>We used a pedicled isoperistaltic jejunal flap interposition technique to reconstruct the digestive tract after a total gastrectomy so that duodenal surveillance could be maintained in patients followed in outpatient consultation for genetic diseases. We also describe how this technique was performed fully through laparoscopy in two of these cases.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>We identified four patients with FAP who developed malignant or extensive pre-malignant gastric lesions which were not endoscopically resectable. Two patients were submitted to open surgery and the remaining two underwent laparoscopic surgery. There was no perioperative or post-operative morbidity, and all four patients are alive at the time of writing, with a minimum follow-up of 12 months. They were not diagnosed with major nutritional imbalances and were routinely submitted to endoscopic duodenal surveillance, sometimes including polypectomy, with ease.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>In our experience, this surgical technique has good results, and all surgical steps can be done entirely through laparoscopy, with every advantage this approach entails.<\/jats:p>\n          <\/jats:sec>","DOI":"10.4103\/jmas.jmas_161_23","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T14:00:14Z","timestamp":1732888814000},"page":"7-10","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Jejunal flap interposition after total gastrectomy in managing patients with familial adenomatous polyposis: A report on the experience of a single centre"],"prefix":"10.4103","volume":"21","author":[{"given":"Jos\u00e9","family":"Barbosa","sequence":"first","affiliation":[{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal"},{"name":"Department of General Surgery, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}]},{"given":"V\u00edtor","family":"Lopes","sequence":"additional","affiliation":[{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal"},{"name":"Department of General Surgery, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}]},{"given":"Fabiana","family":"Sousa","sequence":"additional","affiliation":[{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal"},{"name":"Department of General Surgery, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}]},{"given":"Manuela","family":"Baptista","sequence":"additional","affiliation":[{"name":"Department of General Surgery, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}]},{"given":"Jos\u00e9 Pedro","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Information and Decision in Health, Faculty of Medicine, University of Porto, Porto, Portugal"}]},{"given":"Elisabete","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal"},{"name":"Department of General Surgery, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}]}],"member":"276","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"R1-20250114","doi-asserted-by":"crossref","first-page":"229","DOI":"10.21614\/sgo-499","article-title":"Totally laparoscopic total gastrectomy with oesophagus-duodenal interposition of a pedicled jejunal flap in a patient with familial adenomatous polyposis (with video)","volume":"27","author":"Barbosa","year":"2022","journal-title":"Surg Gastroenterol Oncol"},{"key":"R2-20250114","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1007\/BF00342466","article-title":"The incidence rate of familial adenomatous polyposis. Results from the Danish polyposis register","volume":"11","author":"B\u00fclow","year":"1996","journal-title":"Int J Colorectal Dis"},{"key":"R3-20250114","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.23922\/jarc.2017-028","article-title":"Japanese society for cancer of the colon and rectum (JSCCR) guidelines 2016 for the clinical practice of hereditary colorectal cancer (translated version)","volume":"2","author":"Ishida","year":"2018","journal-title":"J Anus Rectum Colon"},{"key":"R4-20250114","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1097\/PAS.0000000000000146","article-title":"Upper GI tract lesions in familial adenomatous polyposis (FAP):Enrichment of pyloric gland adenomas and other gastric and duodenal neoplasms","volume":"38","author":"Wood","year":"2014","journal-title":"Am J Surg Pathol"},{"key":"R5-20250114","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1007\/BF02150736","article-title":"Mortality in patients with familial adenomatous polyposis","volume":"33","author":"Arvanitis","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"R6-20250114","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.3892\/ol.2017.5629","article-title":"Gastrointestinal tract cancers:Genetics, heritability and germ line mutations","volume":"13","author":"Lv","year":"2017","journal-title":"Oncol Lett"},{"key":"R7-20250114","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1007\/s00384-020-03524-y","article-title":"Long-term clinical outcomes and follow-up status in Japanese patients with familial adenomatous polyposis after radical surgery:A descriptive, retrospective cohort study from a single institute","volume":"35","author":"Babaya","year":"2020","journal-title":"Int J Colorectal Dis"},{"key":"R9-20250114","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1007\/s10689-017-9966-0","article-title":"Gastric tumours in FAP","volume":"16","author":"Walton","year":"2017","journal-title":"Fam Cancer"},{"key":"R10-20250114","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1016\/j.cgh.2016.02.020","article-title":"Frequency and features of duodenal adenomas in patients with MUTYH-associated polyposis","volume":"14","author":"Walton","year":"2016","journal-title":"Clin Gastroenterol Hepatol"},{"key":"R11-20250114","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1097\/00000658-195205000-00007","article-title":"Construction of a substitute gastric reservoir following total gastrectomy","volume":"135","author":"Longmire","year":"1952","journal-title":"Ann Surg"},{"key":"R12-20250114","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.amsu.2017.07.080","article-title":"Laparoscopic double-tract reconstruction after total gastrectomy for postoperative duodenal surveillance:Case series","volume":"21","author":"Otsuka","year":"2017","journal-title":"Ann Med Surg (Lond)"},{"key":"R13-20250114","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1097\/01.sla.0000205740.12893.bc","article-title":"Postprandial gastrointestinal hormone production is different, depending on the type of reconstruction following total gastrectomy","volume":"243","author":"Kalm\u00e1r","year":"2006","journal-title":"Ann Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/jmas.jmas_161_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T07:00:41Z","timestamp":1736838041000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/jmas.jmas_161_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,29]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_161_23","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,29]]},"assertion":[{"value":"2023-06-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}